        <form action="" method="post" id="secureRegister">
        	<fieldset>
                        <span error id="error_reg" style="display: none; "></span>
        		<h2>sign up</h2>
        		<table>
        			<tr>
        				<td>Email</td>
        				<td><input type="text" name="data[User][username]" id="email"></td>
        			</tr>
        			<tr>
        				<td>Password</td>
        				<td><input type="password" name="data[User][password]" id="rpassword"></td>
        			</tr>
                                <tr>
        				<td>Retype Password</td>
        				<td><input type="password" name="data[User][cpassword]" id="rcpassword"></td>
        			</tr>
                                <tr>
        				<td>Enter Captcha Code</td>
        				<td><input type="text" name="data[User][captcha_text]" id="captcha_val"></td>
        			</tr>
                                <tr>
        				<td id="refresh-captcha" align="right"> <img src="<?php echo $this->base ?>/img/front/refresh.png" class="refresh-captcha" id="refresh-captcha" alt="Try another"></td>
        				<td id="captch"><img src="<?php echo $this->base ?>/img/captcha/<?php echo $captcha_src; ?>" class="captcha" alt=""></td>
        			</tr>
        		</table>
                        By clicking on 'Register' below you are agreeing to the <a href="<?php echo $this->base ?>/terms">Terms & Conditions</a>
                        <br/><br/>
        		<div class=center>
        			<button type="submit">Register</button> &nbsp; <button type="button" id="cancelReg">Cancel</button>
        		</div>
        	</fieldset>
        </form>